training workshop on: management and planning tools & skills dr. walid abubaker who ta/cb...
TRANSCRIPT
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Training workshop on: Training workshop on: Management and Management and planning tools & skillsplanning tools & skills
Dr. Walid AbubakerDr. Walid AbubakerWHO TA/CBWHO TA/[email protected]@sud.emro.who.int
Management Best PracticesManagement Best PracticesManagement Best PracticesManagement Best Practices
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Presentation OutlinePresentation OutlinePresentation OutlinePresentation Outline
Part IPart I
Conceptual Overview of Modern Conceptual Overview of Modern Health ManagementHealth Management
Part IIPart II
Operational Framework & Operational Framework & Potential ApplicationPotential Application
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Health management creates Health management creates skills/competencies required skills/competencies required to: to:
CHANGE performance CHANGE performance
IMPROVE public health IMPROVE public health
GENERATE results/impactsGENERATE results/impacts
Why Health Management?Why Health Management?
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The System Approach The System Approach
Measurement Measurement
Measurement
Results
Change
PH Impact
Health Management
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International Management International Management SchoolsSchools
Traditional ManagementTraditional Management
Operational ManagementOperational Management
Utilization ManagementUtilization Management
Quality Management/TQMQuality Management/TQM
Strategic Management/Preventive Strategic Management/Preventive (Preemptive/Proactive)(Preemptive/Proactive)
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Operational ManagementOperational Management Program managementProgram management Administrative managementAdministrative management Human resources managementHuman resources management Information system managementInformation system management Financial managementFinancial management Drug managementDrug management Logistics managementLogistics management
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What is Management?What is Management?What is Management?What is Management?
Management Management is the art of organizing, is the art of organizing,
facilitating, coordinating, facilitating, coordinating,
communicating, inspiring, coaching and communicating, inspiring, coaching and
delegating to achieve intended results.delegating to achieve intended results.
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ManagementManagement is the mostis the most costcost
effective utilization of available effective utilization of available
resourcesresources
What isWhat is Management? Management?
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Management FrameworkManagement Framework
Management Management is the problem-solving is the problem-solving
best practicebest practice
PIPI PDPD PSPS PFIPFI
Step I Step II Step III Step VI
Problem Identification Problem
Development Problem Solutions Implementation
Follow-up Improvement
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Management Management is bridging the is bridging the
gap between what is being gap between what is being
done and what should be done done and what should be done
What isWhat is Management? Management?
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Management Management is the ability to is the ability to
achieve intended results and achieve intended results and
prove intended impactsprove intended impacts
What isWhat is Management? Management?
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Management Management is a dynamic process is a dynamic process
of rational planning, task-based of rational planning, task-based
implementation, and data-driven implementation, and data-driven
monitoring/evaluationmonitoring/evaluation
What is Management?What is Management?
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Organizational DesignOrganizational Design
““Organizational design refers to the way Organizational design refers to the way in which the building blocks of in which the building blocks of organization - responsibility, information, organization - responsibility, information, communication, coordination, authority, communication, coordination, authority, accountability and rewards - are arranged accountability and rewards - are arranged and rearranged to improve effectiveness and rearranged to improve effectiveness and adaptive capacity.”and adaptive capacity.”
Shortell and Shortell and KaluznyKaluzny
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What is Health Management?What is Health Management?
Health management is the ability Health management is the ability
to meet and exceed needs and to meet and exceed needs and
expectations of patients and expectations of patients and
communities servedcommunities served
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What is Health ManagementWhat is Health Management??
Health management is the Health management is the
system- wide approach to system- wide approach to
change and improve public change and improve public
health status health status
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ClinicalClinical ManagementManagement??
Ability to achieveAbility to achieve treatment outcomestreatment outcomes according to internationally according to internationally recognized recognized quality quality standardsstandards, , protocolsprotocols and and guidelinesguidelines
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Planning
ImplementationEvaluation
Planning
ImplementationEvaluation Monitoring/Evaluation
Management
Management CycleManagement Cycle
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PlanningPlanningPlanningPlanning
Planning Planning is tois to analyze analyze what what has been happening, has been happening, understand present and understand present and anticipate the futureanticipate the future
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Planning Planning Planning Planning
Planning Planning is to ensure that is to ensure that available resources now and in available resources now and in the future are efficiently used to the future are efficiently used to obtain intended resultsobtain intended results
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Seven “Ws” of Seven “Ws” of planningplanning
are we now: Assessmentare we now: Assessment
are we going: Objectivesare we going: Objectives
we need: Resourceswe need: Resources
timetable: Futuretimetable: Future
activities/tasks: Efficient activities/tasks: Efficient implementation implementation
we will know we are we will know we are doing doing the recommended activities: the recommended activities:
Follow-up monitoringFollow-up monitoringwill happen: Results /Impactswill happen: Results /Impacts
Where
What
Where
When
How
How
What
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PlanningPlanningPlanningPlanning
Challenges the status quo Challenges the status quo
Takes timeTakes time
Involves all Involves all
Requires consensus Requires consensus
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Strategic Strategic planning planning Strategic Strategic planning planning
Creating the Creating the mission/purpose mission/purpose and strategic directionand strategic direction
Analyzing external Analyzing external environment, environment, opportunities and threats opportunities and threats
Assessing internal strengths andAssessing internal strengths and
weaknesses weaknesses
Establishing goalsEstablishing goals
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Strategic Strategic planningplanningStrategic Strategic planningplanning
Selecting strategies to reach Selecting strategies to reach goalsgoals
Establishing objectivesEstablishing objectives
Developing workplans with Developing workplans with required activities for each required activities for each objectiveobjective
Preparing financial Preparing financial plan/budget plan/budget
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ImplementationImplementationImplementationImplementation
Implementation Implementation is the execution is the execution of activities and tasks that need to of activities and tasks that need to be carried out be carried out according to the according to the plan plan to achieve anticipated to achieve anticipated outcomesoutcomes
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EvaluationEvaluation EvaluationEvaluation
Evaluation Evaluation is to measure is to measure progress toward the achievement progress toward the achievement program objectives and results program objectives and results (whether the intended change(whether the intended change and and impact haimpact haveve occurred) occurred)
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MonitoringMonitoringMonitoringMonitoring
Monitoring Monitoring is the ongoing is the ongoing data collection, analysis data collection, analysis and interpretation of and interpretation of program activities against program activities against pre-established indicators pre-established indicators
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Plan
Do
Cheek
ActDOTS
Management
Shewhart-Deming Shewhart-Deming CCycleycle Shewhart-Deming Shewhart-Deming CCycleycle
The statistical-based management cycleThe statistical-based management cycle
Known also as the Shewhart-Deming Cycle, which is a four-step Known also as the Shewhart-Deming Cycle, which is a four-step process designed to continuously improve qualityprocess designed to continuously improve quality
Сheck
Management
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PDCA
Select and plan
the change
Do
implement the change
Check
Monitor and evaluate the change
Act
review andstabilizethe change
Management FrameworkManagement Framework
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Management toolsManagement toolsManagement toolsManagement tools
Organizational Organizational DesignDesign BrainstormingBrainstorming MultiMulti-V-Votingoting SWOTSWOT AnalysisAnalysis Nominal Group TechniqueNominal Group Technique
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Management toolsManagement toolsManagement toolsManagement tools
Delphi MethodDelphi Method Deployment Chart or Planning Deployment Chart or Planning
GridGrid Prioritization Prioritization MMatrixatrix Hoshin Organizational ToolHoshin Organizational Tool WorkplanWorkplanss
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Scope of Health Management Scope of Health Management Scope of Health Management Scope of Health Management
Organizational DesignOrganizational Design & & Strategic DirectionStrategic Direction
Clinical ManagementClinical Management
HMIS (HMIS (E/, data bankE/, data bank))
Human Recourses Human Recourses Management/ DevelopmentManagement/ Development
Health Financial ManagementHealth Financial Management
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Organizational Organizational Design/RedesignDesign/RedesignOrganizational Organizational
Design/RedesignDesign/Redesign
OD OD Is a structuredIs a structured management tool used tomanagement tool used to outline individual outline individual accountability and team accountability and team accomplishmentsaccomplishments
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Organizational DirectionOrganizational Direction
Mission (Purpose Statement)Mission (Purpose Statement) Shared vision for the futureShared vision for the future
Organizational Culture: Organizational Culture: Values, Beliefs, PhilosophyValues, Beliefs, PhilosophyLines of accountability and authorityLines of accountability and authority
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Primary goal of ODPrimary goal of ODPrimary goal of ODPrimary goal of OD
To identify major deficiencies and To identify major deficiencies and
explore new explore new approaches and approaches and
levelslevels of attainable management of attainable management
capabilitiescapabilities
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How to conduct ODHow to conduct ODHow to conduct ODHow to conduct OD
Step one:Step one:
inventory or inventory or environmental scan to environmental scan to select priority select priority management capacity management capacity building areasbuilding areas
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How to conduct ODHow to conduct OD
Step two:Step two:
selecting explicit measurable selecting explicit measurable indicators for each priority indicators for each priority management area needing management area needing improvementimprovement
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How to conduct ODHow to conduct OD
Step threeStep three::
develop an action plan develop an action plan based on the results and based on the results and analysis of steps one and analysis of steps one and twotwo
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Coaching and supervising Coaching and supervising staffstaff
Coaching and supervising Coaching and supervising staffstaff
Effective manager today uses Effective manager today uses the concept of participatory the concept of participatory supervision to guide and supervision to guide and coach staff to perform their coach staff to perform their assigned tasksassigned tasks
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The art of feedback and The art of feedback and two-way communicationtwo-way communication
The art of feedback and The art of feedback and two-way communicationtwo-way communication
Close contact is essential Close contact is essential both for the effective both for the effective operation of the program operation of the program and for staff morale and and for staff morale and commitmentcommitment
Feedback means Feedback means communicating to the staff communicating to the staff your reaction regarding your reaction regarding their work performance. their work performance.
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Tips for effective feedbackTips for effective feedbackTips for effective feedbackTips for effective feedback
Prompt Prompt
ConstructiveConstructive
Inspiring and motivatingInspiring and motivating
Task-relatedTask-related
Action-orientedAction-oriented
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Team building skillsTeam building skills
Team development (FSNP)Team development (FSNP)
Communication skillsCommunication skills
Meeting skillsMeeting skills
Conflict management skillsConflict management skills
Decision making skillsDecision making skills
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Hands-on Hands-on management toolsmanagement tools
Hands-on Hands-on management toolsmanagement tools
Time managementTime management
Professional writingProfessional writing
Effective presentationEffective presentationss
Effective listening Effective listening
Computer skillsComputer skills
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HMPHHMPH
TimeTime
People People
Finance Finance
DataData
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High-Performing LeaderHigh-Performing Leader
Strategic Thinking SkillsStrategic Thinking Skills
Team Building SkillsTeam Building Skills
Analytical SkillsAnalytical Skills
Computer SkillsComputer Skills
Coaching Leadership Skills Coaching Leadership Skills
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Old vs. New WayOld vs. New Way
Old wayOld way New WayNew Way
Verbal infoVerbal info Data –based factsData –based facts
Bad appleBad apple Systems/processesSystems/processes
AloneAlone Together Together
Crisis Crisis management/rmanagement/reactiveeactive
Preventive/Preventive/preemptive/proactivepreemptive/proactive
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ConclusionConclusionConclusionConclusion
Management is:Management is:
a sciencea science a profession and careera profession and career
Health management is:Health management is: an integral part of public healthan integral part of public health a primary public health/community a primary public health/community
health functionhealth function
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ConclusionConclusionConclusionConclusion
Skills-based management training
Health management best practice
Impact on public health parameters
Change/improve nationalhealth indicators